Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09621 | Date 13/07/2023 |
| Token No | SM/22-23/10866 13/07/2023 | Serial | 025 |
| Patient Name | Mr. SOUVIK SHYAM | Contact No | 8637547422 |
| Address | MAHESH SERAMPORE | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||